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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 376600364
Report Date: 10/29/2019
Date Signed: 10/29/2019 12:15:55 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME:NHA WEBSTER HEAD START FAMILY FOCUSED CTRFACILITY NUMBER:
376600364
ADMINISTRATOR:BLACKMAN, CLAUDETTEFACILITY TYPE:
850
ADDRESS:2930 MARCY AVENUETELEPHONE:
(619) 232-4521
CITY:SAN DIEGOSTATE: CAZIP CODE:
92113
CAPACITY:80CENSUS: 72DATE:
10/29/2019
TYPE OF VISIT:Annual/RandomUNANNOUNCEDTIME BEGAN:
09:50 AM
MET WITH:Claudette Blackman TIME COMPLETED:
12:30 PM
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(3) Licensing Program Analysts Selina Siao and Tyra Block conducted an unannounced annual inspection. Upon arrival, LPAs met with Director Claudette Blackman and proceeded to tour the facility. All required notices, forms and license were posted. The following ratios were observed today: Room 2AM have 15 children supervised by teachers Heather Pettit, Gabriela Iturbe and teacher assistant trainee (TAT) Rina Jimenez. Room 1AM have 18 children supervised by teacher Delma Clark, TAT Celine Medina, Associate Teacher (AT) Alejandra Rubio Astorga . Room 3 (full day) have 19 children supervised by teacher Martha Saucedo, (AT) Dioselina Valderma and substitute aide Susanna Maldonado. Room 4 (full day) have 20 children supervised by teacher Susana Vasquez, (AT) Yasania Palmer and (TAT) Kory Gipson. Facility has age appropriate furniture and equipment. Rooms have adequate heating, lighting, ventilation and drinking water from a water dispenser. Storage cubbies are readily available, and room accommodates class size. Napping equipment consists of napping mats which are kept in a shed located outside. Bathrooms are maintained with operational toilets and faucets with appropriate temperature. Paper towels and toilet paper are available. Bathroom is lighted and has ventilation. Food service area consists of a kitchen which is clean and free of hazards. Monthly menu is posted. Adequate food is available for meals and snacks or food is catered. Cleaning supplies are kept out of reach of children. Outdoor play area is a fenced playground with sufficient rubber cushioning under the high climbing structure. Climbing structure and slides are securely fixed to the ground. Area has two canopy and trees used for shade. Equipment is age appropriate for children ages 2-12 years old. Portable water is available for children when they are at the playground and the children. has an operational drinking fountain and grounds are free of debris or potential hazards. LPA reviewed sign in sheets, first aid supplies and reviewed medication policy and storage, all areas are within compliance. Isolation area is the Director's office area. All staff members records and several children's records were reviewed. Reporting requirements was also reviewed. All personnel have required criminal record and child abuse index clearances or exemptions. LPA reviewed Emergency Disaster Plan and last fire drill was conducted on 10/22/2019. Facility has an operating carbon monoxide detector.
SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR., STE 110
SAN DIEGO, CA 92108
FACILITY NAME: NHA WEBSTER HEAD START FAMILY FOCUSED CTR
FACILITY NUMBER: 376600364
VISIT DATE: 10/29/2019
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Facility has at least one staff member that has a valid EMSA approved CPR/FA when children are in care. All staff members have the required immunizations.

This facility provides Incidental Medical Services – IMS. LPA reviewed storage of medication and equipment/supplies, and reviewed children’s, personnel, and administrative records. For IMS information see Evaluator Manual - Regulation Interpretations and Procedures for Child Care Centers Sections 101173 and 101226.The following information regarding ADA was provided: US Department of Justice (USDOJ) toll-free ADA Information Line at (800) 514-0301 (voice)/ (800) 514-0383 (TTY) and link to publication: Commonly Asked Questions about Child Care Centers and the ADA, available at: http://www.ada.gov/childqanda.htm

The following items were discussed with provider: facility representative was reminded that corporal punishment, smoking are not allowed in day care. Director was provided with information about Heat Related Illness, Best Practice on Supervision, Latest Car Seat Poster and Effects of Lead Exposure and reporting responsibilities were discussed.

The following handouts were provided to the licensee today:

· PIN 19-10-CCP – U.S. Consumer Product Safety Commission recall


· PIN 19-09-CCP – Head Lice Information for Child Care Providers
· Health & Human Services Agency Guidance on Head Lice Prevention and Control
· PIN 19-08-CCP – CA Department of Public Health New Pre-Kindergarten Immunization requirements
· PIN 19-06-CCP – U.S. Consumer Product Safety Commission recall
· PIN 19-02-CCP – Safe Sleep Awareness Campaign

Child Care Providers can now sign up for Quarterly Updates and PINS through the DSS website at www.ccld.ca.gov. Director was provided with information regarding California Megan's Law www.meganslaw.ca.gov.

Facility appears to be within substantial compliance during today's inspection. A notice of site visit was provided and to be posted at the facility for 30 days. . Failure to keep notice posted will result in a civil penalty of $100.00

SUPERVISOR'S NAME: Monica CuddyTELEPHONE: (619) 767-2249
LICENSING EVALUATOR NAME: Selina SiaoTELEPHONE: (619) 767-2217
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2019
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2019
LIC809 (FAS) - (06/04)
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